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American Journal of Neuroradiology 27:2058-2060, November-December 2006
© 2006 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Fatal Recurrent Subarachnoid Hemorrhage After Complete Endovascular Aneurysm Occlusion

M. Bendszusa, C. Hagele, M. Maurerc, A. Schütza, G.H. Vinced, M.C. Monoranub and L. Solymosia

a Department of Neuroradiology, University of Würzburg, Germany
b Department of Neuropathology, University of Würzburg, Germany
c Department of Neurology, University of Würzburg, Germany
d Department of Neurosurgery, University of Würzburg, Germany
e Department of Neuropathology, University of Hamburg, Germany

Please address correspondence to: M. Bendszus, MD, Department of Neuroradiology, University of Würzburg, Josef-Schneider-Str 11, D-97080 Würzburg, Germany; e-mail: bendszus{at}neuroradiologie.uni-wuerzburg.de

SUMMARY: Endovascular treatment of aneurysms has become an alternative to the neurosurgical approach. Here, we describe a patient presenting with a subarachnoid hemorrhage (SAH) due to a basilar tip aneurysm, which was completely occluded with coils. Fourteen days later the patient died due to massive recurrent SAH. Histologic evaluation showed aneurysm rerupture with coil dislocation in the subarachnoid space. This is a rare histologically documented case of fatal recurrent hemorrhage early after coil embolization of cerebral aneurysms.




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U. S. Kanamalla, J. P. Kochan, M. Bendszus, and L. Solymosi
Re: Fatal recurrent subarachnoid hemorrhage after endovascular aneurysm occlusion from overdistention of the aneurysm wall.
AJNR Am. J. Neuroradiol., May 1, 2007; 28(5): 805 - 806.
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